<form id="rollback-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    <p>回滚后需要重新计算好运金</p>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">回滚时间:</label>
        <div class="col-xs-12 col-sm-2">
            <input id="c-backtime" data-rule="required" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="backtime" type="text" value="">
            <!--<input type="text" name="backtime" value="">-->
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">验证码:</label>
        <div class="col-xs-12 col-sm-4">
            <input id="c-captcha" data-rule="required" class="form-control" name="captcha" value="">
        </div>
        <div class="col-xs-12 col-sm-4">
            <div style="line-height: 31px;"><img src="{:url('captcha')}" style="height: 36px;float: left;cursor: pointer;" onclick="this.src=this.src"></div>
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <input type="hidden" name="row[status]" value="2">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
